Term Description

The Adverse Childhood Experience Questionnaire for Adults is used to screen adults older than 18 for ACEs.

Reference Information

TypeSourceReference
CitationOffice of the California Surgeon General and the Department of Health Care Services, in consultation with the ACEs Aware Clinical Advisory SubcommitteeKoita, K., Long, D., Hessler, D., Benson, M., Daley, K., Bucci, M., ... & Burke Harris, N. (2018). Development and implementation of a Teen adverse childhood experiences (ACEs) and other determinants of health questionnaire in the Teen medical home: A pilot study. PloS one, 13(12), e0208088. Link
CitationOffice of the California Surgeon General and the Department of Health Care Services, in consultation with the ACEs Aware Clinical Advisory SubcommitteeRAND Corporation. (2025, April 15). California's ACEs Aware initiative has made substantial early progress, but sustained investment is needed (Research Brief RB-A2152-2). Link

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINCNameR/O/CCardinalityExample UCUM Units
112441-1Adverse Childhood Experience Questionnaire for Adults [ACE Questionnaire for Adults]
Indent112462-7Did you feel that you didn’t have enough to eat, had to wear dirty clothes, or had no one to protect or take care of you?R1..1
Indent112461-9Did you lose a parent through divorce, abandonment, death, or other reason?R1..1
Indent112459-3Did you live with anyone who was depressed, mentally ill, or attempted suicide?R1..1
Indent112457-7Did you live with anyone who had a problem with drinking or using drugs, including prescription drugs?R1..1
Indent112455-1Did your parents or adults in your home ever hit, punch, beat, or threaten to harm each other?R1..1
Indent112453-6Did you live with anyone who went to jail or prison?R1..1
Indent112452-8Did a parent or adult in your home ever swear at you, insult you, or put you down?1..1
Indent112451-0Did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way?R1..1
Indent112445-2Did you feel that no one in your family loved you or thought you were special?R1..1
Indent112444-5Did you experience unwanted sexual contact?R1..1
Indent112442-9Total score [ACE Questionnaire for Adults]R1..1{score}
Indent112443-7Do you believe that these experiences have affected your health?R1..1

LOINC Names Get Info

Fully-Specified Name
Adverse Childhood Experience Questionnaire for Adults:-:RptPeriod:^Patient:-:ACE Questionnaire for Adults
Long Common Name
Adverse Childhood Experience Questionnaire for Adults [ACE Questionnaire for Adults]

Part Model Get Info

  • Component
    Adverse Childhood Experience Questionnaire for Adults
    LP450223-5
    • Analyte
      Adverse Childhood Experience Questionnaire for Adults
      LP450223-5
      • Component Numerator
        Adverse Childhood Experience Questionnaire for Adults
        LP450223-5
        • Component Numerator Core
          Adverse Childhood Experience Questionnaire for Adults
          LP450223-5
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    -
    LP6769-6
  • Time
    RptPeriod
    LP190654-6
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    -
    LP7747-1
  • Method
    ACE Questionnaire for Adults
    LP450222-7

Basic Attributes

Class
PANEL.SURVEY.SDOH
Type
Surveys
First Released
Version 2.82
Last Updated
Version 2.82 (ADD)
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=112441-1
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/112441-1